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Medication Reconciliation Documentation Requirements – Help!

Our EHR has a button the provider checks "medications reconciled". Most providers also list the current medication list in the chart note, but one provider updates the meds, checks to "medications reconciled" box, but does not include the current list of meds in the chart note.

Especially for TCM, what IS the actual documentation requirement?

Does the current list of meds need to be imported into that chart note, or does the EHR current list for reference qualify if the provider documents med rec was done?

Thank you!

Michelle

Medical Billing and Coding Forum